A 68-Year-Old Man With Skin Rash and a Pleural Effusion.

Abstract

CASE PRESENTATION:

A 68-year-old man developed an erythematous, papular, pruritic rash on his right thigh 1 month prior to presentation. It subsequently spread to his other extremities and trunk. He also endorsed fevers of > 38.3°C, night sweats, fatigue, shortness of breath, and a dry cough. He was prescribed triamcinolone 0.1% cream for his rash and azithromycin for presumed community-acquired pneumonia, with no improvement in symptoms. He had a history of relapsing polychondritis for which he was prescribed infliximab and low-dose prednisone. He had never smoked tobacco, did not use alcohol or illicit substances, and had no significant travel history.

• Authors: Robin H Stiller, Marat Gadzhiev, April K Schachtel, Oliver H Chang, Sarah Bastawrous, Heidi Hermes Shantz, Gustavo Matute-Bello, Tyler J Albert
• Journal: Chest (Chest) Vol. 158 Issue 1 Pg. e33-e36 (07 2020) ISSN: 1931-3543 [Electronic] United States
• PMID: 32654736 (Publication Type: Case Reports, Journal Article)
• Copyright: Published by Elsevier Inc.

Topics

• Aged
• Exanthema (diagnosis, etiology, therapy)
• Humans
• Male
• Pleural Effusion (diagnosis, etiology, therapy)
• Polychondritis, Relapsing (complications, diagnosis, therapy)
• Sweet Syndrome (complications, diagnosis, therapy)